Graduation Year

2023

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Melanie A. Johnson

Department Affiliation

Nursing

Second Advisor

Molly Bradshaw-O'Neal

Department Affiliation

Nursing

Abstract

Abstract

Hepatitis C (HCV) is estimated to impact 57,500 people in the US and is a leading infectious disease worldwide. The purpose of this DNP Project is to increase provider confidence in screening, early detection rates and ultimately timely treatment for patients at risk for HCV served within a rural Federal Qualified Health center (FQHC).

Interventions for this project included bundle steps consisting of provider and staff training of Hepatitis C guidelines for screening, use of an Electronic Medical Records (EMR) HCV flowsheet and lab template, revision of preventative health form, and self-efficacy survey to evaluate provider and nursing confidence in HCV screening and care. Paired t-tests were conducted to evaluate the impact on bundle interventions on care providers and staff overall knowledge, confidence and referral practices among providers caring for patients at risk for HCV. The project data analysis reflects an extreme statistically significant difference between both pre and post survey variables t (14) =5.152 p = 0.0001, 95% CI (-10.39, -4.28). Pre intervention self-efficacy score (n=15, with mean value 20.133) and Post scores (n=15, with mean value 27.47). Findings from the project reflect the importance of staff and provider training and the use of effective strategies to importance HCV screening uptake and referrals.

IRB Approval Number (if applicable)

5017

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